Security Deposit Receipt Template
A receipt that records the deposit paid, how and when, where it is held, and the terms for its return, signed by landlord and tenant.
Use this template
Free, no sign up. Fill it in by hand or edit the Word file.
General template, not legal advice. Have an attorney in your state review before use.
General information, not legal advice. This template is a starting point. Laws differ by state and city, so have a licensed attorney review your final document before you use it.
Last reviewed
Before you use it
- A deposit receipt is proof of what the tenant paid, when, and on what terms it comes back.
- Several states require a written receipt or notice that says where the deposit is held and whether it earns interest.
- A deposit is the tenant's money held in trust, not income, until lawful deductions are made after move-out.
- Pair the receipt with a move-in condition checklist and dated photos.
How to fill it in
- Underlined spaces are blanks to fill in. The small label says what goes there.
- Shaded boxes mark rules that change by state. Look up the rule where the property is located.
- Delete clauses that do not apply, and add any disclosures your state or city requires.
General template, not legal advice. Have an attorney in your state review before use. Last reviewed October 29, 2026.
Security Deposit Receipt
This receipt confirms that the landlord received a security deposit from the tenant named below for a home located in State.
1. Parties and property
- Landlord or agent name
- Landlord address for notices
- Tenant name or names
- Property address and unit
- Lease start date
- Lease end date or month to month
2. Payment received
| Item | Amount | Date received | Payment method and reference |
|---|---|---|---|
| Security deposit | |||
| Pet deposit, if any | |||
| Key or other refundable deposit | |||
| Total refundable deposits |
These amounts are refundable deposits, not rent and not fees. The tenant may not use them as the last month's rent unless the landlord agrees in writing.
3. Where the deposit is held
The deposit is held at Bank name and city, or not required in Account type, such as a separate deposit account, interest bearing or not.
4. Return of the deposit
After the tenancy ends and the tenant returns possession, the landlord may deduct only what the lease and state law allow, such as unpaid rent, the cost of repairing damage beyond normal wear and tear, and cleaning needed to restore the move-in condition. The landlord will send the balance with an itemized statement of any deductions to the tenant's forwarding address within the deadline the law sets.
5. Move-in condition
A move-in condition checklist Was or was not completed on Date. The tenant should note existing damage in writing within Days days after moving in, and both parties should keep dated photos.
6. Signatures
General template, not legal advice. Have an attorney in your state review before use.
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